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Flashcards in modes of cancer treatment Deck (41)
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1

excisional biopsy

the entire tumor is remoced

2

incisional biopsy

segment of a large tumor is being taken out to be biopsied

3

curative surgery

completely eradicates disease

4

debulking

control removing part of the tumor to prevent further growth

5

local excision

just removing the entire tumor

6

wide excision/ radical excision

removing all the surrounding tissues

7

leksell gama knife

radiosurgery
computerized mapping
intense high beam ampping of tumor site with in the brain
good for benign malignant tumors
done in the brain
done on inoperable tumors

8

radiation side effects

altered taste sensation- caused by metabolites
anorexia- small meals decrease fluids during meals
fatigue-due to bodies inability to increase energy demands to repair radiation damaged cells
edema
infertility
hair loss- if recieving radiation to the brain

9

intracavitary radiation

may place gynecological into the sealed source of radiation
log roll and bed rest to prevent displacement
removed
in a special sealed room

10

interstitial radiation

treat malignancies of prostate pancreas and breast cancer
temporary or permanent
consists of seeds needles wires or small catheters positioned to provide local radiation

11

clients that are receiving radiation emit it while implants are in place

private room
limit on visitors and time spend in room
post notices
no pregnant staff or visitors
no children
6 feet away from radiation source

12

action of chemotherapy

chemotherapy acts on the cells ability to reproduce, later in the cycle, harder it is to kill

13

what to monitor when the pt is receiving chemo

how they feel
response
electrolyte balance
calcium balance
increased fluids and sugary drinks for calories
- attach to chemo receptors in medulla which cause vomiting (also, opiates do it)

14

what part of the body is mostly affected by chemo?

bone marrow, people will have complaints of bone pain, also RBC, WBC, and platelet count will decrease

15

nursing interventions for leukopenia

monitor temp q4, physical assessment s/s of infection
strict hand washing
limited visitors
no fresh fruit/plants

16

nursing interventions for anemia

manage depletion of energy
allow client for more time with tasks
monitor h/h, procrit, packed rbcs PRN per MD

17

thrombocytopenia nursing intervention

prevent injury
soft tooth brushes
electric razor
CBC, PT, PTT, petechiae, ecchymoses, nose bleed, occult bleeding, no rectal temps, suppositories, parental injections, platlet transfusions per orders

18

GI upset occurs with in ___ of treatment, nursing interventions

3-4 houurs of treatment, lasts 72 hours
antiemetic 1-3 hour before chemotherapy
avoid liquids at meal times
avoid foods with strong odors
high calorie and high protein food
increase spicy foods
decrease high fiber foods

19

constipation nursing interventions

increase fluids
increase fiber
hot lemon water in the morning

20

alopecia

discuss possible hair loss with the client before treatment
roswell will give 1 free wig per year
hair returns in about 6-8 weeks after trx

21

neurotoxicity

frequent neuro assessments and assessments during trx

22

skin reactions

may be generalized or local
very in onset
rash/erythema
hyperpigmentation
photosensitivity
ulceration
urticaria
kyperkeritosis
tissue necrosis

23

reproductive disturbances

female- ammenorhea, lack of ovulation
male- decreased sperm count/ sterility
harmful to fetus
contraception

24

cardiac toxicities

St changes
tachycardia
dc drugs if s/s of CHF

25

renal toxicity

occurs with cisplatin, methotrexate, vincristine
decreased urine output
hydrate, BUN, serum creatnine, electrolyte

26

hepatoxicity

1% incidence
adriamycin
BCNU
methrotrexate
danuomycin
elevated LST/AST
assess for jaundice
treat symptoms

27

hemmorhagic cystis

cytoxin, ifex
dysuria
hematuria
force fluids (2000ml/24hrs_
empty blasser at night
cytoxan in early am, not at night
occult blood in urine

28

allogenic

from unrelated donor

29

autologus

from self

30

synergistic

from an identical twin